What I would like to know as I've not found anything on this issue is what are they going to do about privacy, there are going to be many patients who just simply don't want their records in an electronic exchange.. I will be one of them. I don't trust our govt as far as I can throw them, I don't want my records out there in any way, shape or form. Same goes for my information going offshore for billing or any other purpose, a provider will NOT get my permission for that. If I wanted a Pakistani to see my medical records, I'd go over there for treatment.